Ingestion of a Quarter- Pediatric Oncall

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Question
My 9-year-old daughter ingested a quarter (we don't know when), which was detected in her stomach on x-ray 11/23. The ER doc (far from our home) told us to wait 3-5 days, examining each bowel movement, to see if it has passed. If not, he said, have her pediatrician do another x-ray, and possibly go into her stomach to get it out. Yesterday (day #4, the 26th), I called the pediatrician. The nurse there said to wait not for 3-5 days, but a week, and said they would not do another x-ray, and probably NOT remove the quarter unless she has stomach pain. I don't know who to believe. I talked to someone at a pediatric gastroenterologist's office at a local major hospital who would give me no advice on the phone. Still no quarter, and Now what??? Can you help? Thanks!
Answer
Any foreign body that is ingested , if it reaches the stomach usually passes out on its own without requiring any intervention. Your doctor correctly advised you to wait for 3-4 days, maybe even a week to see if it passes in the stools. If not, a repeat X ray would be required to know the position of the coin, whether it has moved or not. Any foreign body that is less than 2cm wide and less than 7 cm long usually passes out in the stools. Back to All Questions

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